Ex-Cinefamily Employee & Volunteer Survey
Thank you for helping to hold Cinefamily accountable. This is an effort led by a group of former Cinefamily staff, volunteers, board members, and Black Card holders to bring to light the full set of facts of Cinefamily's internal operations.

We understand the sensitive nature of this information and are committed to securing your confidential answers and protecting participants.

Your personal information will NEVER be released without your consent.

If you have questions or concerns, please contact Jon Zerolnick at jzblackcard@gmail.com

After completing the survey, please share the link with others in your network.

Name: *
Your answer
Email: *
Your answer
Phone:
Your answer
Role: *
Required
Position/Job Title: *
Your answer
Supervisor (if known):
Your answer
Date Started (give best guess if not sure, does not have to be exact): *
MM
/
DD
/
YYYY
Date Ended (give best guess if not sure, does not have to be exact): *
MM
/
DD
/
YYYY
Do you believe you are owed money by Cinefamily? *
Do you believe you directly EXPERIENCED any labor law violations? (e.g. unpaid work, unpaid overtime, no breaks, sub-minimum wage, health & safety issues, etc):
Do you believe you WITNESSED or were AWARE OF any labor law violations affecting others? (e.g. unpaid work, unpaid overtime, no breaks, sub-minimum wage, health & safety issues, etc):
During my time at Cinefamily, I directly EXPERIENCED (check all that apply):
If you checked any box above, please provide as much detail as you like:
Your answer
During my time at Cinefamily, I directly WITNESSED (check all that apply):
If you checked any box above, please provide as much detail as you like:
Your answer
During my time at Cinefamily, I was AWARE OF (check all that apply):
If you checked any box above, please provide as much detail as you like:
Your answer
I reported my concerns to my supervisor/member of upper management/board member:
If yes, I feel my concerns were addressed:
I understand that my answers and personal information will be kept private, but I allow my name & contact information (and nothing else) to be shared confidentially with GOVERNMENT REGULATORS upon request: *
I understand that my answers and personal information will be kept private, but I allow my name & contact information (and nothing else) to be shared confidentially with THE PRESS upon request: *
I would like to receive occasional updates about this issue:
Any additional thoughts, detail, questions, or information you'd like to include:
Your answer
Thank you for your participation!
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